Literal question
INTRODUCTION AND CONSENT
Hello. My name is ___. I am working with the Central Statistical Office/ZIMSTAT, in collaboration with the Ministry of Health. We are conducting a survey about health and other topics all over Zimbabwe. The information we collect will help the government to plan health services. Your household was randomly selected for the survey. The questions usually take about 30-60 minutes. All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. Participation in the survey is completely voluntary. It's up to you if you want to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any questions you don't want to answer just let me know and I will go on to the next question or you can stop the interview at any time.
In case you need more information about the survey, you any contact the person listed on the card that has already been given to your household.
Do you have any questions?
SIGNATURE OF INTERVIEWER ___
DATE ___
RESPONDENT AGREES TO BE INTERVIEWED 1 (GO TO 101)
RESPONDENT DOES NOT AGREE TO BE INTERVIEWED 2 (GO TO END)